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Individual

SHERYL D KATTA-CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4141 SHORE DRIVE, INDIANAPOLIS, IN 46254-2607
(317) 329-2000
(317) 329-2006
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01075146A
IN
208100000X
Physical Medicine & Rehabilitation Physician
4301099547
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201299660
IN
Enumeration date
07/18/2011
Last updated
11/24/2020
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